facebook tracking Revision of hip or knee replacement without complications cost in Arizona: 17 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in Arizona

What 17 hospitals in Arizona charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $134,264 Hospital list price billed
Average payment $21,344 Medicare + patient + other payers
Medicare paid $18,213 Average per stay
State rank #15 of 42 1 = lowest average payment

Hospitals in Arizona billed an average of $134,264 for revision of hip or knee replacement without complications, about 6.3 times the average total payment of $21,344. That payment is 11% below the U.S. average of $23,925.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $21,344Billed $134,264

About 16¢ was paid for every $1 hospitals in Arizona billed for this stay.

Arizona hospitals: revision of hip or knee replacement without complications

Every Arizona hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Arizona Orthopedic Surgical HospitalChandler 36 $66,531 $18,736 $17,104
Abrazo Scottsdale CampusPhoenix 34 $170,031 $20,972 $18,402
Scottsdale Healthcare-Thompson Peak HospitalScottsdale 30 $162,194 $23,280 $19,880
Tucson Medical CenterTucson 26 $65,539 $21,319 $19,805
Scottsdale Healthcare-Shea Medical CenterScottsdale 26 $200,140 $21,584 $16,543
Scottsdale Healthcare-Osborn Medical CenterScottsdale 23 $210,646 $21,878 $18,339
Oro Valley HospitalOro Valley 19 $159,583 $20,836 $15,949
Banner del E Webb Medical CenterSun City West 18 $125,022 $19,847 $18,485
Honorhealth Sonoran Crossing Medical CenterPhoenix 18 $198,916 $21,618 $17,519
O.A.S.I.S. HospitalPhoenix 15 $83,239 $18,929 $17,297
Banner Baywood Medical CenterMesa 14 $129,603 $19,472 $18,054
Banner Estrella Medical CenterPhoenix 14 $106,921 $23,574 $18,278
Banner Desert Medical CenterMesa 12 $109,783 $21,037 $19,669
Surgical Specialty Hospital of ArizonaPhoenix 12 $99,905 $18,974 $17,342
Honorhealth Four Peaks Medical CenterMesa 12 $149,312 $23,524 $21,608
Banner Boswell Medical CenterSun City 11 $99,415 $19,407 $17,912
Mayo Clinic HospitalPhoenix 11 $74,759 $32,309 $18,558
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Lowest and highest payments in Arizona

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Arizona Orthopedic Surgical HospitalChandler, AZ$18,736
O.A.S.I.S. HospitalPhoenix, AZ$18,929
Surgical Specialty Hospital of ArizonaPhoenix, AZ$18,974
Banner Boswell Medical CenterSun City, AZ$19,407
Banner Baywood Medical CenterMesa, AZ$19,472

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in Arizona?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 17 hospitals in Arizona was billed at $134,264 on average, while the average total payment was $21,344, of which Medicare paid $18,213. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Arizona, average charges were 6.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.